SOUTHWEST GD DENTAL CORP (NPI# 1235596081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235596081 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST GD DENTAL CORP |
| Other Organization Name | SOUTHWEST DENTAL CENTER |
| Practice Address |
6601 S Rural Rd Tempe AZ 85283-3747 |
| Practice Telephone | 4807301857 |
| Practice Fax Number | 4808310702 |
| Mailing Telephone | 4807301857 |
| Mailing Fax Number | 4808310702 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | JON DELSNYDER (OWNER) |
| Authorized Official Telephone | 4807301857 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| SOUTHWEST DENTAL CENTER | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SOUTHWEST GD DENTAL CORP., P.C. | 9800 S La Cienega Blvd Ste 800, Inglewood, CA 90301 |
| Street Address |
6601 S RURAL RD |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407948409 | Southwest Dental Group, Esq. | Dentist | 6601 S Rural Rd, Tempe, AZ 85283-3794 | 2006-09-28 |
| 1003110065 | Debra Gordon | Dental Hygienist | 6601 S Rural Rd, Tempe, AZ 85283-3747 | 2011-01-05 |
| 1518276559 | Jerry Wayne Gray | Dental Hygienist | 6601 S Rural Rd, Tempe, AZ 85283-3747 | 2010-09-24 |
| 1174831606 | Diana Freund | Dental Hygienist | 6601 S Rural Rd, Suite 1, Tempe, AZ 85283-3747 | 2010-09-17 |
| 1083840748 | Ryan T Stanger | Dentist | 6601 S Rural Rd, Ste #120, Tempe, AZ 85283-3747 | 2009-06-08 |
| 1518163724 | Fazila H Durkin | Dentist | 6601 S Rural Rd, Tempe, AZ 85283-3747 | 2007-06-25 |
| 1275748709 | Allen Samuel Honigman | Dentist | 6601 S Rural Rd, Southwest Dental Group, Tempe, AZ 85283-3747 | 2007-05-10 |
| 1548472798 | Dirk Michael Donovan | Dentist | 6601 S Rural Rd, Tempe, AZ 85283 | 2007-05-03 |
| 1588732945 | Gloria Gilman Stagner | Dental Hygienist | 6601 S Rural Rd, Tempe, AZ 85283-3794 | 2006-12-01 |
| 1730265448 | Edward Mark Mazer | Dentist | 6601 S Rural Rd, Tempe, AZ 85283-3794 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171437 | Feras Z Ziadat | Dentist | 1720 E Warner Rd Ste 5, Tempe, AZ 85284-4542 | 2018-07-26 |
| 1851887277 | New Horizon Institute, Inc. | Dentist | 6200 S Mcclintock Dr Ste 111, Tempe, AZ 85283-3449 | 2018-07-09 |
| 1033528476 | Josh Turnbull | Dentist | 953 E Elliot Rd Ste 102, Tempe, AZ 85284-1561 | 2014-08-11 |
| 1073946927 | Christopher Boyd Olson | Dentist | 3401 S Mcclintock Dr, Tempe, AZ 85282-5820 | 2013-08-14 |
| 1881036044 | Stephen D. Czar | Dentist | 3231 S Country Club Way Ste 109, Tempe, AZ 85282-4053 | 2013-07-29 |
| 1295098689 | Tempe Smiles Family Dental, PC | Dentist | 7660 S Mcclintock Dr, Suite #101, Tempe, AZ 85284-1621 | 2012-06-20 |
| 1346501079 | Western Dental of Arizona, Inc. | Dentist | 1080 W Elliot Rd, Tempe, AZ 85284-1111 | 2012-05-29 |
| 1356622435 | Broadway Dental LLC | Dentist | 55 E. Broadway, Tempe, AZ 85282 | 2011-09-02 |
| 1730490434 | Kyle Steven Scott | Dentist | 1455 E Guadalupe Rd Ste 1, Tempe, AZ 85283-3951 | 2010-06-28 |
| 1689842973 | Eric A. Heap | Dentist | 2125 E Warner Rd, Suite 101, Tempe, AZ 85284-3490 | 2008-02-20 |
| Find all providers in TEMPE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.